COMMUNITY RESOURCE CENTER FOR THE DEVELOPMENTALLY DISABLED, INC. (NPI# 1376604553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376604553 |
| Entity Type | Organization |
| Organization Name | COMMUNITY RESOURCE CENTER FOR THE DEVELOPMENTALLY DISABLED, INC. |
| Practice Address |
755 E 147th St Bronx NY 10455-4592 |
| Mailing Address |
378 E 151st St Bronx NY 10455-2603 |
| Practice Telephone | 7182921705 |
| Mailing Telephone | 7182921705 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-10-11 |
| Authorized Official Name | MR. KEVIN M MEADE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7182921705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00651776 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033270665 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 603 Morris Avenue, Bronx, NY 10451 | 2006-12-13 |
| 1538247812 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 2021 Eastchester Rd, Bronx, NY 10461-2250 | 2006-11-02 |
| 1366504045 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 245 E 149th St, Bronx, NY 10451-5516 | 2006-12-15 |
| 1336208768 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 245 E 149th St, Bronx, NY 10451-5516 | 2006-12-08 |
| 1689733008 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 2253 3rd Ave, New York, NY 10035-2206 | 2006-12-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | COMMUNITY RESOURCE CENTER FOR THE DEVELOPMENTALLY DISABLED, INC. | 1776 Eastchester Rd. Suite 225, Bronx, New York 10461 |
| Street Address |
755 E 147TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10455-4592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946331 | Nutrished Dietitian Nutrition Solutions, P.C. | Dietitian, Registered | 2825 Third Ave Suite #301, Bronx, NY 10455 | 2020-09-15 |
| 1538641907 | Michelle Flores | Pharmacy Technician | 754 E 151 St, Bronx, NY 10455 | 2018-09-03 |
| 1669973285 | Uhc Adult Day Program & Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 368, East 149th Street Suite 3a, Bronx, NY 10455 | 2018-02-28 |
| 1578061206 | Ursula Ma Stafford | Case Management | 391 East 149 St, Suite 417, Bronx, NY 10455 | 2018-01-29 |
| 1942714506 | Chantal J George | Case Manager/Care Coordinator | 391 East 149th Street, 417, Bronx, NY 10455 | 2017-11-18 |
| 1598295800 | Sonrisa Corp | Pharmacy | 755b East 149th St, Bronx, NY 10455 | 2017-06-19 |
| 1962931378 | Josepjh Appau | Licensed Practical Nurse | 512 Jackson Avenue, Apt 2a, Bronx, NY 10455 | 2017-06-08 |
| 1295187664 | Leticia Robles | Social Worker | 480 Concord Avenue Apt#3j, Bronx, NY 10455 | 2016-07-08 |
| 1811350242 | Jenna Medical Office PC | Family Medicine | 2742 Third Avenue, Bronx, NY 10455 | 2016-04-02 |
| 1841656857 | Heracles Medical PC | Internal Medicine | 2825 Third Ave, Suite 7, Bronx, NY 10455 | 2016-01-06 |
| Find all providers in zip 10455 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033270665 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 603 Morris Avenue, Bronx, NY 10451 | 2006-12-13 |
| 1538247812 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 2021 Eastchester Rd, Bronx, NY 10461-2250 | 2006-11-02 |
| 1366504045 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 245 E 149th St, Bronx, NY 10451-5516 | 2006-12-15 |
| 1336208768 | Community Resource Center for The Developmentally Disabled, Inc. | Intermediate Care Facility, Mental Illness | 245 E 149th St, Bronx, NY 10451-5516 | 2006-12-08 |
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| 1871037648 | Citizens Options Unlimited Inc | Intermediate Care Facility, Mental Illness | 919 Rainbow Commons Court, Melville, NY 11747-9001 | 2016-12-13 |
| 1972967859 | Citizens Options Unlimited Inc | Intermediate Care Facility, Mental Illness | 904 Melville Estates Ct, Melville, NY 11747-2827 | 2016-04-07 |
| 1326400631 | Qsac, Inc | Intermediate Care Facility, Mental Illness | 901 Melville Estates Ct, Melville, NY 11747-2827 | 2016-03-25 |
| 1225317266 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 304 Daley Blvd, Rochester, NY 14617 | 2011-08-09 |
| 1407135445 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 404 Rogers Pkwy, Rochester, NY 14617 | 2011-08-09 |
| 1316226350 | Easter Seals of Ny, Inc | Intermediate Care Facility, Mental Illness | 302 Daley Boulevard, Rochester, NY 14617 | 2011-08-09 |
| 1114213824 | Gotham | Intermediate Care Facility, Mental Illness | 116 John St., New York, NY 10038-3414 | 2011-06-21 |
| 1215240403 | Nassau County Association for The Help of Retarded Citizens Inc | Intermediate Care Facility, Mental Illness | 980 Washington Ave., House D, Plainview, NY 11803 | 2010-07-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.